Douglas Frank Larson, PH.D.

Primary specialty

PerfusionistTaxonomy code 242T00000X

License

733042-0700 Issued in AZ

Practice address

1501 N Campbell Ave
Suite 4402 Arizona Health Science Center
Tucson, AZ 85724-0001

Phone

(520) 626-6339

NPI assigned

May 7, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003028317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 AHSC",
            "address_2": "1501 N. CAMPBELL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857240001",
            "telephone_number": "520-626-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N CAMPBELL AVE",
            "address_2": "SUITE 4402 ARIZONA HEALTH SCIENCE CENTER",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857240001",
            "telephone_number": "520-626-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "DOUGLAS",
        "middle_name": "FRANK",
        "name_prefix": "Mr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "242T00000X",
            "taxonomy_group": "",
            "desc": "Perfusionist",
            "state": "AZ",
            "license": "733042-0700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry F Wheeler, DDS, PC
• Larry I Mann, MD
• Jaiva Blair Larsen, M.D
• Mark Larsen, DMD
• Larson Plastic Surgery, PLLC
• Elizabeth Kay Larson, R.N.
• Ethan Erik Larson, MD
• Jason Bradley Larson, DO
• Jon Larson, M.D.
• Michelle Lyn Larson, M.D.

• Perfusionist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Perfusionist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.